New to state service: Represented, bargaining unit 02
As part of the hiring process, you will need to read and sign a number of documents. Please review the documents listed below for newly hired represented employees in bargaining unit 02 new to state service.
- Email completed documents to the Pay and Position Control inbox (PayandPositionControl@CalSTRS.com) upon completion.
- During your first week of employment, you will meet with a personnel specialist who will receive the documents and answer any outstanding questions.
For accessible versions of files on this page, contact ADACoordinator@CalSTRS.com.
New to state employee appointment documents
Electronically sign and print to PDF
Employee Action Request (STD 686)
Print page 1 of this two-page document.
Request for Nondisclosure of Employee Home Address (STD
677)
https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std677.pdf
CalSTRS Employee Emergency Contact Information
(AD-1894)
https://www.calstrs.com/sites/main/files/file-attachments/emerginfo.pdf
State Employee Race/Ethnicity Questionnaire (CalHR
1070)
https://www.calhr.ca.gov/Documents/calhr-1070.pdf
Military Service Information (CalHR-190)
https://www.calhr.ca.gov/Documents/calhr-190.pdf
Authorization to Use Privately Owned Vehicles on State
Business (STD 261)
https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std261.pdf
Employment Eligibility Verification (Form I-9)
Print all pages of this four-page document.
Member Reciprocal Self-Certification Form
(PERS-EAMD-801)
Print page 3 of this five-page document.
Designation of Person(s) Authorized to Receive Warrants
(STD 243)
https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std243.pdf
Prior Exempt Service Questionnaire (CalHR-004)
Print page 1 of this two-page document.
Oath of Allegiance and Declaration of Permission to Work for Persons Employed by the State of California (STD 689)
Annual Leave-Sick Leave/Vacation Election Form
Direct Deposit Enrollment Authorization (STD 699)
Print page 1 of this two-page document.
State Miscellaneous & Industrial Members Second Tier Benefit
Election Package (PUB 52)
Print and sign page 1, Receipt of Retirement
Information Acknowledgement.
For your reference
Vacation vs. annual leave comparison chart
State Pay Period Calendar for 2021-2022
CalSTRS policies and acknowledgement documents
Print and sign
Confidentiality, Non-Disclosure and Acceptable Use Agreement (ISO 1949)
CalSTRS Incompatible Activities Acknowledgement (AD-150)
CalSTRS Policy Prohibiting Insider Trading Acknowledgement (Form 600C)
Electronically sign and print to PDF
Employee Relationship Acknowledgement
Policy and Information on Health and Dental Benefits Acknowledgement
For your reference
CalSTRS Employee Relationship Policy
CalSTRS Zero Tolerance for Workplace Violence Prevention Policy
CalSTRS Physical Security & Emergency Management
Internet Usage Policy
CalSTRS Sexual Harassment Policy
CalSTRS Family Medical Leave Act and California Family Rights Act
CalSTRS Equal Employment Opportunity Policy
Information on Rights of Victims of Domestic Violence, Sexual Assault or Stalking
- https://www.calstrs.com/sites/main/files/file-attachments/victims-domestic-violence-leave-notice.pdf
New to state employee benefits information and applicable enrollment forms
Electronically sign and print to PDF
Health Benefits Plan Enrollment for Active Employees
(HBD-12)
Print pages 1 and 2 of this three-page document.
Dental Plan Enrollment Authorization (STD 692)
Print page 1 of this two-page document.
Premier Vision Plan Enrollment Authorization (CalHR
774)
Print page 1 of this two-page document.
Dependent Eligibility Verification Checklist
For your reference
CalPERS Health Program Guide
CalPERS Health Benefit Summary
2021 Dental Handbook
Vision Service Plan
Vision Care Plan Disclosure Statement and Evidence of Coverage
Flex Elect Program Handbook
Savings Plus Program 401K/457 Plan Highlights
New Employee’s Guide to Workers’ Compensation
State of California’s Employee Assistance Program
Consolidated Benefits Handbook
Legal Services Plan